Step-By-Step Surgical Video of Horizontal and Vertical Defects - Part 1 of 2We are aiming for minimal invasive techniques for the benefit of our patients. Nevertheless, there are many occasions in which we need to repair the anatomy and topography of the atrophic site for better positioning of implants and for their longevity.
This step by step surgical technique video presents the treatment sequence for recovering severe vertical and horizontal posterior maxillary atrophy for optimal implant placement. Vertical augmentation is achieved by using: First the anatomy: performing sinus augmentation via lateral wall technique. Second, autologous bone block graft for further recovery of the vertical deficiency decreasing the enlarged inter-maxillary distance.
Horizontal augmentation is achieved by using autologous bone block. Part II will depict implant placement and soft tissue manipulations.

“IPG-DET Technique” The Evolution of New Age Concept“IPG” DET protocol: a pioneer technique of internal bone regeneration in the sinus without the need of sinus floor elevation (SFE)
Patients suffering from maxilla deficiencies are treated with extensive bone transplantation and Sinus Floor Elevation (SFE) procedures, in order to accomplish a successful and stable dental implantation. In 2014, “IPG” DET – called the Ioannis P. Georgakopoulos Dentist Education Institute Technique – has been proven a solid and reliable alternative to SFE. Actually, “IPG” DET is a well-established, simple, safe, efficient and cost-effective dental implantation protocol that combines a complex of fibrin, concentrated growth factors and CD34+ stem cells (fibrin membrane) along with bone grafting and intentional perforation of the Schneider’s membrane towards a rapid implant insertion.

"The Great Debate" on Tooth ReplacementBucco-palatal collapse of the post-extraction ridge is a significant challenge in restorative and implant dentistry. A variety of different approaches as well as ridge preservation techniques using tissue and augmentative materials have been proposed in this session with some of the leading clinical research teams in the field. A conceptual debate format discussing the virtues of "Early Placement" at 6 weeks (Buser & Belser Team) vs. "Immediate Placement with Dual Zone Protocols" at time of extraction (Chu & Tarnow Team) vs. "Partial Extraction Therapy" PET (Gluckman & Salama) also at the time of extraction is led by Professor Homa Zadeh of USC. This interactive session explores the current status and poses questions for the future use and indications of each proposed therapy.

Surgical Veneer Grafting Protocol: Step-by-Step Utilization in the Esthetic ZoneIn the surgical part, it will be described the criteria necessary for successfully utilizing minimally invasive protocols within the esthetic zone and the possibility of placing or not placing a bone graft in the “gap” and the opportunity to use a connective tissue graft to overbuild the site bucco-lingually, performing the Surgical Veneer Grafting Protocol, idea'ed by the Agnini brothers.

Step-By-Step Surgical Video of Horizontal and Vertical Defects - Part 1 of 2We are aiming for minimal invasive techniques for the benefit of our patients. Nevertheless, there are many occasions in which we need to repair the anatomy and topography of the atrophic site for better positioning of implants and for their longevity.
This step by step surgical technique video presents the treatment sequence for recovering severe vertical and horizontal posterior maxillary atrophy for optimal implant placement. Vertical augmentation is achieved by using: First the anatomy: performing sinus augmentation via lateral wall technique. Second, autologous bone block graft for further recovery of the vertical deficiency decreasing the enlarged inter-maxillary distance.
Horizontal augmentation is achieved by using autologous bone block. Part II will depict implant placement and soft tissue manipulations.

"The Great Debate" on Tooth ReplacementBucco-palatal collapse of the post-extraction ridge is a significant challenge in restorative and implant dentistry. A variety of different approaches as well as ridge preservation techniques using tissue and augmentative materials have been proposed in this session with some of the leading clinical research teams in the field. A conceptual debate format discussing the virtues of "Early Placement" at 6 weeks (Buser & Belser Team) vs. "Immediate Placement with Dual Zone Protocols" at time of extraction (Chu & Tarnow Team) vs. "Partial Extraction Therapy" PET (Gluckman & Salama) also at the time of extraction is led by Professor Homa Zadeh of USC. This interactive session explores the current status and poses questions for the future use and indications of each proposed therapy.

Early Implant Placement with Contour Augmentation - Biologic Rationale, Surgical Technique & Long-Term ResultsToday, the timing of implant placement post-extraction in the esthetic zone is considered an important factor which influences the esthetic treatment outcome.
One of these options is early implant placement after 4 to 8 weeks of soft-tissue healing.
The purpose of this presentation is to present data and to analyze the stability of esthetic treatment outcomes in patients following single-tooth replacement in the anterior maxilla using the concept of early implant placement with simultaneous contour augmentation. Special emphasis will be placed on assessing the stability of the facial mucosa, since it directly depends on the stability of successful contour augmentation by GBR and to compare it to currently utilized immediate techniques like Dual Zone Therapy (Chu & Tarnow) and Partial Extraction Therapies (Salama & Gluckman).

The Modern Age of Regeneration: Tenting, Fixating and Space CreationRegeneration requires a common biological thread for predictable results. Space Maintenance, Graft Stability, Bone Biologics, and Wound Management. This presentation will describe the importance of each critical step in regeneration and introduce a new technical system to assist the surgeon in managing and stabilizing the space required for optimal bone regeneration. Flap design, release, biologics selection and enhancement as well as bone stabilization, fixation, and secure membrane adaptation will be further highlighted as to it's critical value in the final results.

“IPG-DET Technique” The Evolution of New Age Concept“IPG” DET protocol: a pioneer technique of internal bone regeneration in the sinus without the need of sinus floor elevation (SFE)
Patients suffering from maxilla deficiencies are treated with extensive bone transplantation and Sinus Floor Elevation (SFE) procedures, in order to accomplish a successful and stable dental implantation. In 2014, “IPG” DET – called the Ioannis P. Georgakopoulos Dentist Education Institute Technique – has been proven a solid and reliable alternative to SFE. Actually, “IPG” DET is a well-established, simple, safe, efficient and cost-effective dental implantation protocol that combines a complex of fibrin, concentrated growth factors and CD34+ stem cells (fibrin membrane) along with bone grafting and intentional perforation of the Schneider’s membrane towards a rapid implant insertion.

Hydraulics and Densification in Sinus & Ridge ManagementMajority of the cases in the maxilla require some form of sinus grafting or procedures to increase ridge width. Innovations in the field of site preparation using Osseodensification principles and use of Hydraulics for sinus elevations have simplified the procedure of gaining bone volume in such clinical situations.
Newer tools and materials have enabled clinicians to offer a minimally invasive transalveolar approach to sinus grafting compared to the lateral window approach. Densification drills have provided the clinicians a solution to optimize and expand the site for implant placement.
This presentation will analyze various clinical situations needing ridge and sinus augmentation and provide predictable solutions to achieve high success rates.

Crestal Sinus Approach: A Hammerless Solution to the Indirect Sinus LiftPosterior maxillary dental implant reconstruction for advanced alveorlar ridge atrophy has become possible through bone grafting procedures involving the maxillary sinus. This procedure involves augmentation of either the internal or external aspects of the sinus, or both. Bone grafting of the external aspect is performed with guided bone regeneration, using allogenic, autogenous, cortical, or corticocancellous grafts, as well as growth factors such as PRF as onlays with immediate or delayed implant placement. With the advent of new surgical techniques and equipment, sinus augmentation has become a predictable and efficient treatment. This presentation will focus on the internal, hammerless approach.

"The Great Debate" on Tooth ReplacementBucco-palatal collapse of the post-extraction ridge is a significant challenge in restorative and implant dentistry. A variety of different approaches as well as ridge preservation techniques using tissue and augmentative materials have been proposed in this session with some of the leading clinical research teams in the field. A conceptual debate format discussing the virtues of "Early Placement" at 6 weeks (Buser & Belser Team) vs. "Immediate Placement with Dual Zone Protocols" at time of extraction (Chu & Tarnow Team) vs. "Partial Extraction Therapy" PET (Gluckman & Salama) also at the time of extraction is led by Professor Homa Zadeh of USC. This interactive session explores the current status and poses questions for the future use and indications of each proposed therapy.

Surgical Veneer Grafting Protocol: Step-by-Step Utilization in the Esthetic ZoneIn the surgical part, it will be described the criteria necessary for successfully utilizing minimally invasive protocols within the esthetic zone and the possibility of placing or not placing a bone graft in the “gap” and the opportunity to use a connective tissue graft to overbuild the site bucco-lingually, performing the Surgical Veneer Grafting Protocol, idea'ed by the Agnini brothers.

Partial Extraction Therapy (PET) The Final FrontierBuccopalatal collapse of the postextraction ridge is a significant challenge in restorative and implant dentistry. A variety of different approaches as well as ridge preservation techniques using tissue and augmentative materials have been proposed in the literature. A slightly different approach, "PET" is to use the tooth itself by purposely maintaining all or a portion of the root in the remaining socket. Root submergence has been reported in the literature for more than 4 decades, and it has been demonstrated that the submerged tooth root retains the periodontal tissues and preserves the bone in pontic sites or below dentures to retain the ridge. The socket-shield technique entails preparing a tooth root section to remain behind on the labial aspect simultaneous to immediate implant placement and has demonstrated histologic and clinical results that are highly promising to esthetic implant treatment.

Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 1 of 2This presentation will focus on the interdisciplinary relationship of the restorative dentist, periodontist and orthodontist to reconstruct the soft tissue foundation for all of these restorative options in anterior tooth replacement. The diagnosis of deficiencies as well as the varied treatment options will be discussed in detail. This includes periodontal crown lengthening, esthetic periodontal plastic soft tissue grafting procedures as well as prescription adjunctive orthodontic tooth movement to manipulate the soft tissue foundation prior to or subsequent with the restorative options of implants, bridges, or pontic replacement.

Surgical Veneer Grafting Protocol: Step-by-Step Utilization in the Esthetic ZoneIn the surgical part, it will be described the criteria necessary for successfully utilizing minimally invasive protocols within the esthetic zone and the possibility of placing or not placing a bone graft in the “gap” and the opportunity to use a connective tissue graft to overbuild the site bucco-lingually, performing the Surgical Veneer Grafting Protocol, idea'ed by the Agnini brothers.

Partial Extraction Therapy (PET) The Final FrontierBuccopalatal collapse of the postextraction ridge is a significant challenge in restorative and implant dentistry. A variety of different approaches as well as ridge preservation techniques using tissue and augmentative materials have been proposed in the literature. A slightly different approach, "PET" is to use the tooth itself by purposely maintaining all or a portion of the root in the remaining socket. Root submergence has been reported in the literature for more than 4 decades, and it has been demonstrated that the submerged tooth root retains the periodontal tissues and preserves the bone in pontic sites or below dentures to retain the ridge. The socket-shield technique entails preparing a tooth root section to remain behind on the labial aspect simultaneous to immediate implant placement and has demonstrated histologic and clinical results that are highly promising to esthetic implant treatment.

Partial Extraction Therapy and Immediate Loading in Clinical Practice: Synergy for SuccessThis presentation will focus on the application of PET techniques and immediate loading in daily practice. A brief introduction will be presented outlining the concepts, and the benefits in combining both techniques. This will be followed with a review of clinical cases ranging from single unit to full arch implant rehabilitations. Lastly, recommendations will be presented to the viewer in order to facilitate incorporation of these techniques into clinical practice.

"The Socket Shield Technique"; Myths & RealitiesSocket Shield Technique is a concept in implant dentistry that utilizes the partial extraction therapy principles, with the goal of preserving the hard and soft tissues around the dental implants. It has been reported to be a very predictable therapy so far. The proper case selection is crucial for the success of the technique. In fact, it is very technique sensitive and requires an advanced level in implant dentistry. Although the technique has a high overall success rate, but long term studies and high evidence level researches are needed to support the proof of principle available. This presentation will discuss and review the "myths & realities" of the new Socket Shield Technique or "PET" (Partial Extraction Therapy) concept.

Venipuncture & Blood Drawing: Phlebotomy Step-by-StepThe use of platelets concentrates is becoming unavoidable in our surgeries.
To take full advantage of these techniques, the surgeon has to be familiar with the blood collection technique and capable to draw blood at any time. This presentation will show you how to manage simply the venipuncture according to a step by step protocol, with special attention for tricky situations & difficult patients.

The Surgical-Restorative Digital Work Flow In Comprehensive TherapyTraditional methods of treating our patients are being been replaced by digital processes, impacting our daily life. The intake of various technologies such as CBCT imaging, scanning, digital restorative design and CAD/CAM production have contributed to this movement. In the same time, restorative materials have also been developed and studied that have improved strength and esthetic qualities. All these capabilities create opportunities for better restorative outcome.

Surgical Management of Posterior MandibleImplant therapy is a recognized treatment for edentulous areas with long term success. Nevertheless in some critical situations we have to use complex techniques of advanced oral surgery and bone regeneration to permit the implant placement avoiding the damage of important anatomical structures, like the inferior alveolar nerve (IAN). In severe cases of posterior mandible atrophy we have to use very specific techniques to solve the problem. In these techniques we can consider the nerve transposition and the nerve lateralization. The techniques of nerve manipulation for implant placement are going to be explained in detail with some clinical cases. With this lecture we pretend to clear that oral neurosurgery is not a myth and can be a reality in specific extreme cases.